this is bbc news, the headlines... seniorfigures in the ukrainian military say they're making significant progress against the forces of president putin. russia has admitted having problems with its supply lines in and around the southern city of kherson. moscow says it's moving to new defensive positions on the other side of the dnipro river. president biden is embarking on a whirlwind diplomatic tour which will take him to egypt, cambodia and indonesia. over the next few days he'll attend cop27, the us-asean summit and the east asia summit before joining the meeting of 620 leaders in bali, where he'll meet china's president xijinping. australia's prime minister says aboriginal teenager cassius turvey�*s death was racially motivated but

police say the investigation continues and have urged people not to speculate about a motive. he died in hospital ten days after being beaten with a metal rod. now on bbc news, operation relocation: hospital on the move. we are going this way. liverpool's biggest hospital is on the move. ward 7a is ready to release patients. more than 600 patients and thousands of staff will be transferred to a brand new building. i'm quite nervous because it's inaudible. we can plan for as many eventualities as possible but actually until the day of the move itself, we won't know exactly who we are transferring. it's taken nine years and more than £850 million to complete. hundred times better, hundred times better. i absolutely cannot wait.

any number of things could go wrong, but nothing can. cheering and applause. and by the end, the hope is the health services of an entire city will be transformed. absolutely exciting. best thing that could happen to liverpool. siren wails. right in the heart of the city, the royal liverpool hospital has been a landmark since the 1970s. i think the building itself at the time it was actually put up was probably a piece of art, as it were. people were looking to the future. everyone knows the royal liverpool hospital and knows where it is. but time has not been kind to be royal. you know, things are getting old and everything breaking down. for more than a decade,

the poor state of the building has made life difficult for both staff and patients. in the toilet, the sink, it's always leaking, all the taps. we have floods in there. it's a lot of stress for us because we've got to do the work as well, and make sure our patients are safe. there's always something somewhere that is either not working or goes wrong. as you can see we've got to make alterations on a daily basis. what is this? it's actually to control the air—conditioning. just a few hundred metres away, a brand new hospital is weeks away from completion. i'm so happy that we will be moving over there because we'll have all new equipment. yeah, it will be brilliant. the new building stands by the side of the old but in virtually every aspect it's a world away. you will see as we go around each sign is colour co—ordinated.

we got access to the building last month from the contractors so we are going through a whole process now of orientation, familiarisation with the building itself. the hospital will be one of the few and by far the biggest in england to have all single patient rooms. we have 28 single rooms on each of our generic awards set into four zones. there is the privacy and dignity from a patient�*s point of view, so if they are in the room and talking to the doctors or the nurses or anything, there isn't somebody just the other side of a curtain listening. and then there is the infection prevention side of it as well so it is absolutely the state—of—the—art way of hospital care, really. this herejust behind me is one zone, and in this zone there are eight beds and we have two touchdown bases, one just in front of me and one you can see behind me, the nursing staff will sit in this area and be close to the patients so that they know what is going on, the patients can see them, very visible. nursing staff will be used to working in a bigger team than a couple of people so it is a different way of working and we are listening

to our staff and their concerns and seeing how we can address them. staff meanwhile are sifting through 50 years' worth of accumulated equipment and paperwork. junk the junk, basically. we use that. we've got to look at everything we have within the department, things that we no longer use, things like cabinets here because we are electronic now. so yeah, that is a lot of hard work for all the staff. is it a lot ofjunk? er — yeah! the st paul's eye unit's a national centre of excellence, currently in four different centres on different floors. in the new hospital, everyone will be together but there is no room for old kit. is it difficult persuading people to part with it sometimes? yes, yeah. but while moving the equipment will be a huge operation... do you guys want to wait here? ..by far the biggest challenge will be moving the patients safely. we are moving give or take 600 patients in various

stages of illness. and, of course, we need to utilise as much science behind this as we can to ensure that each and every one of our patients is kept safe. the patients will have to be wheeled one by one from the old building to the new. we've measured through laser distance, we've calculated the steps each staff member will take to understand the fatigue, we've mathematically calculated the co—ordination of different teams with ward moves running concurrently through parallel parts of the hospital. we've spent 18 months now testing every permutation. there's going to be lots of really unwell patients. we can plan for as many eventualities as possible but actually, until the day of the move itself, we won't know exactly who we are transferring. we need to make sure that we can get them over to the new hospital safely. i think we are not far off ready to go. with just weeks to go, the team

is carrying out a dry run with a specialist mannequin. we can check his airway, we check if he is breathing, we can record the respiratory rate, you can even listen to his chest. the real patients will also need a large amount of equipment moving with them, adding to the complexity. can you get the lift, please? we have to consider the fact that a lot of our equipment is driven by batteries and of course batteries have time limitations to them so all of our planning considers what might happen and what backup and mitigation we would have in place. and already the runthrough�*s revealed that one lift is not enough. no, neal hasjust said on the day we can have two lifts. back on their way, the team now approaches the most crucial part of the journey. this is where patients leave the old hospital and go to the new. it's 100 metre tunnel, it's only for patients, they are going one by one and once they are in there, it is vital that nothing happens which could hold them up or anybody else. before we go through the tunnel, we will stop and check that everything

is okay both in terms of the patient and the equipment. and then at the other side of the tunnel, there is a second stabilisation checkpoint and again, we will use that in case patients deteriorate during the transfer. keep to the left, wet floor on the right. for safety reasons, all the units' patient, up to 30, will have to be moved in a single day. when patient one gets to the tunnel point and as they move through — it's a one way tunnel, so the point of no return — that is the point that patient two from ward two will be released. at this point, while we know we are working in sequence and we'll know through the radio communications exactly where each patient is in relation to the lifts, the tunnel, the safe holding areas. even so, at an estimated 15 hours it will call for huge reserves of stamina and staff. we will be arriving very early and i suspect we will be going home at ten o'clock or later. with stoppages, we did it in about 12 minutes

from door to door. and that was the first runthrough that we have done. so that's not too bad, really, at all. this unit will have two more dry runs before doing it for real. what keeps you awake at night at the moment? oh my goodness. all of it. there'sjust so much to consider, so much that we have worked through. the transfer complete ? thank you very much. it's little bit overwhelming but it's absolutely exciting and what it offers for our patients just makes every part of it, the stress and sleepless nights absolutely worthwhile. i will take you through to radiology, guys, and we will go and have a little nosy in there. the new building is full of people getting ready for the big opening. we've been over here ten weeks now doing prep for the new stuff to be moved. it's been a journey, hard work but it will be worth it. these are your closest points.

the hospital's army of volunteer guides are themselves being guided around the new layout. it's great, i think it is going to be much easier, actually, once we're in because it is more condensed than the other hospital. the other hospital everywhere was spread out. for instance, all of the clinics at st paul's were all in the one place whereas in the royal there was about eight different ones spread out. have a look around, so this little area, we will have a staff face here. i've taken staff around to st paul's and i've never met them, they have been names on an e—mail, so we are all going to be in the same so a lot of staff appreciate that and getting to see where they will work. 24 hours, any issues that we need... - with huge numbers of people from clinicians to cleaners to contractors involved in the works, the hospital's set up a command centre to co—ordinate the last few weeks. we're into the final stages now. nearly all our furniture is but really to the wire now

of getting our hospital open and ready for patients and staff. it's now just two weeks until the rooms are occupied and the first outpatient clinics is opening in five days. every ward that will be moving, every department that will be moving will have a ten day readiness checklist. a five day readiness checklist. a three day readiness checklist. but i generally think we have kind of dotted the is and crossed the ts and you know, good to go. one week on, staff in the st paul's eye centre are getting ready to leave. the girls have been packing for a while now but we've just put the finishing touches into the crates. and it'sjust deciding which room it's going to going in the new build, so hence, we've had our map, we've not let go of the map all day.

so we just know where to put the crates, where they are going to be used and be unpacked. some outpatient services have already moved over and today, the first patients are being let in. i've been here now for about three or four months, just patrolling the building. it is normally empty, to be honest with you, like we patrol an empty building, do you know what i mean, but obviously with everyone coming over today, it is going to be chocka, you know what i mean, really chocka. but good though. among the welcoming party, the trust's chief exec, the fourth since the project began. big day. massive day, massive absolutely. how are you feeling? very, very excited actually, a little bit nervous as you are with these things but excited to see the patients and the staff coming in for the first time. all right, good go, 0k? it has taken 14 years to get here. plans for a new hospital were first announced in 2008 but almost from the beginning the project was beset by setbacks and delays.

a court case by campaigners who objected to the way it was being funded held it up for more than a year. then it was eventually awarded to a major contractor. carillion. we were involved in the design and we wanted to take it forward, it was an opportunity for us to build a hospital that was fit for purpose so the excitement at that point was immense, it really was. everybody's morale was lifted because we knew that we were getting a better facility to work in. so then obviously when that didn't happen, you know, everybody was really, really disappointed. the work had begun in 2013 with the predicted finish time of 2017. but it swiftly ran into problems. and then... hello, very good morning, you are watching breakfast with dan walker and louise minchin. construction giant carillion has gone into liquidation. we found out, as did the rest of the world, around - the collapse of carillioni and it did not take much to put the pieces together in the news, knowing thatj

that was our contractor at the time. _ a lot of people had invested a lot of time and a lot of planning into it so, you know, to be then told well actually, it is not happening, was a real blow, a real hard blow. funding complications and serious structural issues uncovered by the new contractors, along with a global pandemic, mean the hospital's opening five years later than planned. yeah, it has been some time in the making, hasn't it? all i can say about that is we are finally here, ready for the population of liverpool. they have waited a long time so i hope they enjoye it when they actually get to experience it. welcome to the new hospital. i didn't realise| it was this big. i thought it was only a small building. - yeah. compared to the other. it's lovely. lovely. so how does it compare to the old building? there is no comparison. what i've seen of it up to now. no comparison. that's falling down, isn't it?

in the st paul's eye centre, staff are preparing to close the doors for the last time. it's very emotional, it's sad. it's an exciting time to go into the new building, but at the same time it's sad to have to leave the old place. for the last time, the lights are going out! goodbye! applause. emotional, i'm not going to lie, it is. some of our patients have lifelong conditions and they've grown up with us as well there. so very emotional. but we've got somewhere really nice to go to. this is gavin, ward manager on seven, we're just starting our first checks

of our first patient. this is command centre. please confirm — this is command centre. please confirm you _ this is command centre. please confirm you have _ this is command centre. please confirm you have released - this is command centre. please confirm you have released your| confirm you have released your patient — it's the second week of the move, the hospital wards. today we're moving 21 patients. we've got 28 beds. so at the end of the day we'll have a full ward of patients in our new hospital. what are you going to watch on the telly? anthony has been in the diabetes ward a week after collapsing with painful swelling in his feet. i knew they were moving over, but i didn't expect it be while i was here. so it's a bonus that i'm here for the move. and you are going to be in it. yeah. see you on the other side, sir. and how do you feel about it? i'm quite nervous, because it's the unknown, we've only been over to the building a couple of times. i don't even know where i'm going properly yet, so will have to wait and see. ward 7a a ready to release i patients, moving to the lifts in the next minute or so.

we've got the tactical command centre, they give us the 0k that the patient can move. they radio through to the ward staff, the ward staff do all of the checks before the patient leaves. we've got another checkpoint by the lifts, so we get the lifts held for the patients so there is no delay, the patient can move straight down the left along the back corridor to the entrance of the tunnel. any medical episode in the tunnel would bring the entire system to a halt. so before he goes in there, anthony's checked again. we have a safe haven here. so if the patient isn't looking well enough, can bring them through, do some extra checks. just make sure the vital signs, blood pressure, pulse, and the oxygenation is ok. for those patients are safe to then be transferred into the new build. most patients will make

the same journey, but not all. the vascular ward is heading to an entirely different hospital. for david, it will be his first time outside in two months after losing his leg to gangrene. i'm looking forward to it, to be honest with you. because it is nice to get out. i don't get out much. dave's tv is also packed and ready to go. i've bought it so i could watch me football. you've got to, haven't you? dave's off to the trust's other major hospital, aintree, on the other side of the city. thanks a lot, girls. the move will allow them to create two specialist hospital centres, each concentrating on different areas of treatment. we've got services moving from aintree to the royal

and the royal to aintree and then moving services from the old royal into the new royal. and it is going to be pretty game—changing in terms of the landscape of acute services across the city. take care! bye — bye! it's still a little bit unreal. i think tomorrow and the next few days will be when it really starts to settle in, but it's exciting, it is exciting. goodbye! it's a little bit nerve wracking, because obviously everything is new, everything is, not changing, changing for the better, but everything is new. the new building is lovely and the wards are just amazing so we're hoping it will be really good. as the new hospital comes to life, the old one empties out. the most challenging moves have been left until last, a&e and critical care.

and monitoring wise, we have ecg, we've got blood pressure, we've got stats, and indistinct. we take care of the the sickest patients in hospital. so they are here for a good reason. emergency drugs, we've got a radio... you never quite know what to expect, so that is why we make sure we are prepared for everything, simply because you don't know how patients are going to be on transfer. obviously we have a necessarily moved them from one bed space to another very much since they became unwell. dennis needs continuous oxygen flow to help him breathe after a major operation. for the move he's put in an oxygen mask, but he can only be without the hood for an hour. if something does happen, we need to make sure there are people to be able to run for help, to get extra equipment if we need it. everyone has their specific roles. having people that are specialist transfer people, the anaesthetic team, and also having the critical care nurses for the patients

with the equipment makes it really helpful as well. dennis is one of 30 critical care patients being moved today. we've actually got three separate critical care units and they are on different floors of the hospital, so we've got sort of two separate lifts, so the routes to the new hospital are not the same depending on where you start from, so what we've done is we just had five different teams of doctors and nurses who are moving the patients and by having five of these teams we can get one patient moving, get the next patient ready so we are moving the patients as quickly and smoothly as we can while keeping them as safe as we can. this is command, we are ready to send our next patient through the tunnel. message received. inaudible in the tunnel, the tunnel is actually now free.

lovely. everyone keep an eye on the equipment. i nice and gently. that's ok. so that's 25, 26 are getting ready. 27. things can change very quickly overnight, so the way we left it yesterday evening when we left could be a very different story this morning. and it has changed, hasn't it? it has, yes. we've had two new admissions and obviously those admissions can often be the sickest patients we have on our ward. but, again, thankfully those transfers have been completed and they are now being settled into the new build and they have gone very smoothly. dennis is now entering the new unit. it's a particularly special moment. he helped rebuild it.

applause. and it gets him an extra warm welcome. yes, think it went really well. dennis was great, he knew what to expect as well, so that was good. lots of memories, yes, good and bad. it's an old building, we've had to deal with leaks, we've had to deal with blockages. are you ready, one, two, three! cheering. we need to move, we do. and it's the space we've got for our patients, the facilities. it'sjust going to be really, yeah, it's incredible. cheering and applause.

the hospital is now virtually empty. only the emergency department is left, scheduled to shut its doors at midnight. so we are currently prepping, doing the final preparation for our move across here tonight, we're looking at moving patients out of our current ed if we can, if it's safe to do so, and then looking forward opening tonight. and that's the big one for the city, that is the change they will see immediately, so all the staff really excited about that and are ready to go on that one. the emergency department is one of the biggest of its type in the country. we expect to see around 100,000 patients per year, orjust short of. of them, around about 70,000 will walk in off the street and the 30,000 will be through ambulance crews. the whole system itself is under extreme pressure, we're seeing record attendances day on day, you can see this evening ahead of a big move we have got high numbers coming through the door all day and into the night, it is challenging times

across the board. the inability to discharge medically fit but frail patients because of a lack of social care often mean the hospital is too full to take in new patients. currently we have an ambulance triage area which is designed for a handover from the north—west ambulance service to ourselves. ideally patients then flow to the appropriate area of the emergency department based on the triage. unfortunately, that isn't happening, we are seeing patients held in those areas... and that is the corridor. that is the corridor we are referring to. normally it is used to be in winter, but this has been relentless. it has got its own risk because it becomes difficult for us to make sure everybody is safe, everybody received treatment appropriately. the new hospital has slightly fewer ward beds than the old, but it does have a far bigger medical assessment unit, which allows patients to leave the emergency department to be treated there. moving to a new hospital, i think, will give us

an opportunity to reset and we will be able to introduce new measures of managing patients. but even here staff have mixed emotions about leaving. i've got lots of fond memories of this place, i think being a in registrar and taking over the consulting job and then the last four years or so as a clinical lead. yeah, i'll miss this place, i will miss this place. we're open. cheering and applause. it was quite emotional. i spent 22 years, i came as a student, and i've worked my way up and it will certainly be sad. around the corner to a new building, but it's new start, a new adventure. end of an era. thank you!

this is absolutely it. the hospital is open now, it's up and running. it's real, it's actually happened, and it's fantastic. look at the building around us and the opportunities that it gives us, absolutely exciting. this is now the heart of liverpool. hello. after an exceptionally mild night, with temperatures sitting in the mid—teens for most of us, there's more of the same to come over the next few days. and certainly for armistice day on friday, things are very mild

still, but windy across the uk. some rain in the far north—west, that is already going to be affecting the western isles and the highland through friday morning, and then through the day, that area of rain becomes a little lighter and more patchy as it drifts eastwards across scotland and northern ireland. england and wales largely dry, perhaps the odd spot of drizzle over hills and the west but breezy wherever you are with gusts reaching 30 to a0 mph for most, could be 50 mph across parts of scotland and through the irish sea as well. temperature is widely up to around 17 celsius but could be as high as 19 degrees for the north east of scotland for friday afternoon. and then as we head through saturday, we are going to see a bit of patchy rain pushing north across scotland, clearing away through the day, largely dry elsewhere, early morning mist and fog should clear from england and wales. there will be lighter winds through the afternoon and highs of 15 to 18 degrees, bye—bye.

welcome to bbc news, i'm lucy grey. our top stories. an army on the move — ukraine says its making major gains around kherson, a day after russia announced its withdrawal from the southern city. police in australia investigate the killing of an aboriginal teenager — the prime minister calls the attack racially motivated. still too close to call — two days on from the us midterm elections, who controls the senate still hangs in the balance. and the volcanic island providing an out of this world experience for europe's trainee astronauts.